Individual provider · Type 1 NPI

Emmanuel De Jesus Gaeta, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1649020918 Active

Practice location

1 Illini Dr
Peoria, IL 61605-2576

Call (909) 677-8728 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

39 other providers at this address

Other student in an organized health care education/training program providers in Peoria

See all in Peoria →

About NPI 1649020918

Emmanuel De Jesus Gaeta, MD's National Provider Identifier is 1649020918, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Mar 27, 2024.